Ithaka S+R launched a project in collaboration with a cohort of libraries to identify challenges and develop strategies for streaming media acquisitions. The findings from the first part of this project--a comprehensive national survey that tracked the streaming media strategies libraries are adopting and the challenges they are facing-- was published in June, 2022. This second report draws on a qualitative study of faculty practices and support needs with streaming video. To help synchronize library services with patron needs, the report also examines instructional teaching practices with streaming content. Understanding these practices can guide libraries to make strategic acquisitions and ensure that their licensing and services are truly aligned to faculty needs. [For the first report, "Streaming Media Licensing and Purchasing Practices at Academic Libraries: Survey Results. Research Report," see ED628747.]